Esophageal stricture procedure
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Esophageal stricture Microchapters |
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Esophageal stricture procedure On the Web |
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American Roentgen Ray Society Images of Esophageal stricture procedure |
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Risk calculators and risk factors for Esophageal stricture procedure |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2] [3] [4]
Overview
Esophageal stricture procedure
The most common cause of esophageal stricture is gastroesophageal reflux disease. Treatment for esophageal stricture is combination of dilation and proton pump inhibitors or H2 antagonist therapy.[1]
- The following conditions need more cautious dilation because of increased risk of rupture and severity of underlying disease. [2]
- Caustic strictures
- Radiation stricture
- Eosinophilic esophagitis due to increased risk of perforation
- Bleeding disorders
- Severe cardiovascular disease or pulmonary disease
Interventions for treatment of esophageal strictures include:
- Dilators
- Stents
- Brachytherapy
Dilators
There are two main forms of dilation including:
- Mechanical dilator (bougie) that can be done with
- Guidewire such as savary-gilliard and eder-puestow olive dilators
- Nonguidewire such as maloney and hurst dilator
- Balloon dilators
References
- ↑ Smith PM, Kerr GD, Cockel R, Ross BA, Bate CM, Brown P, Dronfield MW, Green JR, Hislop WS, Theodossi A (1994). "A comparison of omeprazole and ranitidine in the prevention of recurrence of benign esophageal stricture. Restore Investigator Group". Gastroenterology. 107 (5): 1312–8. PMID 7926495.
- ↑ Nostrant TT (2005). "Esophageal Dilation / Dilators". Curr Treat Options Gastroenterol. 8 (1): 85–95. PMID 15625037.